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Peyronies Disease TREATMENT Discussion Boards => Vacuum Erection Devices (VEDs) for Peyronie's Disease => Topic started by: phil_t on March 16, 2010, 12:19:40 PM

Title: VED protocols help & clarifications
Post by: phil_t on March 16, 2010, 12:19:40 PM
Hi guys,

My Vitality system arrived today and I've been reading through the threads trying to learn just what it is I should be doing to help with the peyronies.
So, I think I understand the theory and everything behind the 26 week protocol.  Placing the tubes one inside the other, using the sizing adapters (but NOT the ring things). etc.

What I'm not sure on is the first stage of the cycle.  When it says to create negative pressure around the penis, what exactly does this mean?  I realise it refers to using the pump (I have the manual model) but does it mean just one pump, or several in a row, or several with waiting between each pump? Or just until you are fully erect? I'm just not sure on this point, I have read through the board but haven't really seen anything that 100% answers my question.

I'm hoping someone out there (oldman?) may be able to help.

Thanks in advance, I'm really hoping this VED course is going to help it seems like people have had some really good results with it.

Cheers,

Phil
Title: Re: Protocol help
Post by: Angus on March 16, 2010, 12:49:20 PM
  Negative pressure is the same as vacuum, so it means make a vacuum around the penis. Use plenty of lubrication so a seal around where the rings meet the body won't leak. Using the manual model, start with 2 or 3 pumps that will make a gently suction inside the tube. This is not enough yet... this is just to relax the penis and let it get used to the vacuum. An erection is not immediate... after 30 seconds or so, apply 2 or 3 more pumps. The idea is to gradually build up the vacuum until the penis begins to engorge. Take is slow... there is no rush. You can't force things to save time. Your goal is to gradually build up to a firm erection over time. Do not overpump... as soon as a fairly firm erection is achieved, stop and hold for 10 or 15 seconds, then release the vacuum with the valve release. Start conservatively with the VED and your body will tell you when to stop pumping vacuum. The number of pumps I suggest is a starting point... your body may want fewer or a couple more pumps at any point in the process... you must decide how many pumps and how fast or slow the process is. When you feel discomfort, stop, back down and wait a few minutes before starting again.
Title: Re: Protocol help
Post by: Old Man on March 16, 2010, 01:04:20 PM
Phil_t:

OK, now that you have the VED, you need to know how to start using it, right? Locate the protocol for the three cylinder model VED on the VED board. The 26 week protocol spells out which cylinder or cylinders you use on a specific week throughout the complete protocol. At the bottom of that page is a brief explanation of the whys and wherefore on how and what to do. It does not go into a complete detailed explanation as each and every guy has different needs and approaches to the what to do with the exercise cycles and exactly how to do them.

Here is brief description of the method I used and recommend for VED therapy:

1. Examine the pubic hair around the base of the shaft to see if it would interfere with getting a good tight seal with the VED against your body. If necessary trim and/or shave enough of the hair off to clear the mouth of the VED cylinders. Once you start trimming/shaving, you must keep the skin surface clean, etc.

2. Assemble all three of the cylinders (week 1 on the schedule) by nesting them inside each other in the large C cylinder. Attach these to the pump by aligning the tab on the cylinder with the retainer portion on the pump and tighten firmly, but do not tighten too tight. Place the sizing inserts into the open mouth of the cylinder to provide a tight fit around the shaft. (If you are very large in diameter, you may need to leave out the smaller one.) This assembly is now ready for use.

3. Lubricate inside the cylinders well up into them as far as you can reach with your longest finger. Some guys use a small brush to apply the lube. Then lube your shaft real good so that you have a slippery surface on the head and shaft. Start the head portion of the shaft into the mouth of the cylinders and at the same time start pumping pressure to help pull the entire shaft into the cylinders as far as it will go comfortable. You will need to go very slow with this and practice several times before embarking on serious pumping cycles. Practice for at least several days before starting the weekly protocol so that your penis will get used to the added pressure. Do not, repeat do not, overpump the pressure at any time while doing the VED exercises. The protocol calls for daily use, so try your best to keep up the daily schedule

4. After you have mastered the therapy procedure, start the protocol and go very slowly during Week 1. Work methodically with mild to moderate pressure and be careful not to use too much vacuum. If you feel any pain or discomfort, stop pumping and determine the cause before continuing with the therapy.

I know that you will have many questions as you proceed with the protocol, so feel free to ask any and all at any time.
Keep the forum up to date on how your progress is moving along so that others may have the benefit of your experiences.

Old Man

PS: While I was writing the above Angus posted, so add his good recommendations to the above.
Title: Re: Protocol help
Post by: phil_t on March 16, 2010, 06:10:05 PM
Thanks for the help guys, really appreciate the quick responses.
So I'm going to go take the VED out for a 'test drive' now I think, going to keep in mind the advice and just take things slowly to begin with.
As you already alluded to, I'm sure I will have more questions so I'll be sure to post them up here and let you all know how it's going so that hopefully others can benefit from it too.

Thanks again

Phil
Title: Re: Protocol help
Post by: phil_t on March 16, 2010, 07:10:44 PM
OK, just had a go at using it for the first time and as predicted, got a few questions!

Firstly, Old Man, in your post above you talked about feeding in just the head to begin with and then using the vacuum to 'pull' in the rest of the shaft.  I couldn't really get this to work for me.  With just the head in there was a gap at between my shaft and the sizing adapters which meant that a vacuum couldn't be formed.  It was only when I fed in the whole shaft and had the cylinders flush against my body that I could get a seal to form and therefore allow the pump to work.  Am I missing something here?

I also wasn't really sure what was meant to happen with my penis.  It did definitely engorge as I pumped (I did a practice of maybe 2/3 pumps then waiting 30 seconds then 2/3 more etc, probably a max of 8 pumps in total before releasing the pressure) but it wasn't an actual erection. From reading other posts it sounds like this is quite common to begin with?  Once accustomed to using the pump, should I expect to get an erection fairly quickly once I begin pumping?  I know the theory behind using the A cylinder is that the erect penis will be forced by the tube to straighten, but my penis didn't get erect enough to be touching the sides.  It was actually the head that seemed to engorge more than the shaft.

In terms of the level of discomfort, it's quite hard to describe.  I didn't really feel any pain in my penis, certainly nothing like the pain that Peyronies would give me when getting an erection.  It was more the feeling of the suction.  It wasn't painful, just uncomfortable.  When people advise not to pump to the point of pain, is it this 'pressure pain' that they refer to?

Lastly (for now!), on a practical note, how do you go about cleaning out the tubes etc after use?  Is it ok just to give them a wash, or is it better to use tissue or something?  Or if I'm going to be using the same cylinder the following day is it ok to just leave the lube in there?

Oh, finally, as this thread might be used by other newcomers from the UK I thought I'd let people know that I ordered the vitality pump as recommended on this board through fittz.  I used the US Post Office delivery option as it was by far the cheapest.  It arrived via Royal Mail a week later and didn't get checked by customs (although I think this may be down to chance).  So I was pretty happy with the service I got.  NOT a plug, just letting people know.

Thanks again for the help guys,

Phil
Title: Re: Protocol help/questions
Post by: Old Man on March 16, 2010, 07:41:31 PM
Phil_t:

OK, you have just experienced the first run with the VED exercises. Sounds like you are getting the hang of it real soon.
What I meant about inserting the head and letting the vacuum pull the rest of the shaft on into the cylinder was not to force anything to cause you more trauma early on in the therapy. Patience is one of the best watchwords in VED therapy, so looks you are being cautious with your approach. No, you are not missing something, just my inability to state what I really meant to say. You did the right thing and proceeded with your trial run.

As you become more accustomed to the vacuum pressure exerted on your penis, you will be more comfortable and be able to add more pressure without causing a problem. The vacuum being applied to ones penis does create a very different sensation, but it only takes a few days to grow used to it and it becomes second nature with the pumping cycles. Try to follow the 26 week protocol as closely as possible, but you will have to modify it to suit your individual needs. If you have a severe curve, you have to adjust the exercises to fit your needs with that.

It is not uncommon for a new user of the VED not be able to get a full erection. Remember, the VED gives one a much greater force in pulling the blood flow into the erectile chambers. A natural erection is usually not as firm as one developed with the VED vacuum. The discomfort one experiences with vacuum pressure can be tolerated as long as you do not overpump and hold the high pressure for too long. Short cycles with more repetitions are better than long cycles where the pressure is held for longer periods of time. Short and faster cycles can and will produce better overall results.

Not about cleaning the VED after usage. Since there will be lubricant in side and possibly outside the cylinders, you should wash them with warm to hot soapy water and dry thoroughly afterwards. A note about the lubricant: after you use up the tube of lube that came with the VED package, you don't have to reorder from the company. Just go to your local pharmacy or notions store and buy a good grade of personal water soluble lubricant. In the States, we recommend using the Walmart Equate brand of personal lubricant which works equally well as the supplied one.

Lastly, you should be careful not to overdo your first few trials of using the VED. Just practice for a few days to make sure you are comfortable with yourself. Then start the weekly protocol posted in the VED board for the three cylinder VEDs.

We are here to help, so keep the forum informed as to your progress and success, etc.

Old Man

Edit: Forgot to mention this - do not, repeat do not, immerse the vacuum pump in water. Clean it only with a damp cloth and wipe dry immediately. If you should need to use a cleaning agent, just use a mild bath soap and wipe clean with a damp cloth, etc.
Title: Re: Protocol help
Post by: phil_t on March 18, 2010, 01:02:34 PM
Hi,

Had another couple of trials with the VED so thought I'd let you know how things were going.
I still don't seem to really be getting an erection.  It is definitely engorging the penis but it doesn't really seem to get it 'hard', just filled with blood if that makes sense?  Also, it seems that it expands more in girth than in length.
One thing I have been trying is between 'cycles' getting myself more or less erect by hand and then feeding the penis into the VED for pumping, does this sound ok?  Or could that be risky?

I still find it tricky to judge how much pressure is 'too much' pressure!  I assume that if you are pumping to roughly the same size as you would be erect then that would always be safe?  In so far as you are not forcing the penis to become 'abnormally' large.

I realise it's still very, very early days so am not expecting to be completely sure of what I'm doing just yet!
Title: Re: Protocol help
Post by: Old Man on March 18, 2010, 01:25:43 PM
phil_t:

Hey, slow down my friend with your approach to the VED therapy. VED therapy is not an overnight  "cure/treatment". It must be taken slow and easy and build up slowly into the heavier portions of the protocol. The protocol is designed to give your penis more straight pulling out from your body rather trying to get a more firm erection. It is supposed to remold your shaft in order to help with any curves, nodules and/or plaque you might have.

OK, manipulating yourself prior to inserting the shaft into the cylinder is not, repeat not, a good thing to do. This precludes your entire penis from getting pulled into the cylinder as is necessary. When using all three cylinders for Week 1 of the protocol, you want as much of the shaft into the cylinder as possible. Again though, you don't want to overpump the vacuum to the point of pain or discomfort. There will be a much different feeling to the penis while in the cylinder under vacuum than normal which is to be expected. So, you should not try to get an erection prior to inserting it the cylinder.

Another thing, you do not want to pump yourself to the point of a natural erection by using more than necessary vacuum pressure. You are not going for an erection for sex, you are trying to remold the penile tissue to help eliminate the symptoms. So try your best to relax and follow the cycles listed in the protocol.

From your description, sounds like you are rushing things, and that is not the way to go when starting the therapy. You can and will do more damage to yourself by forcing things.

Take it easy with the vacuum and your approach to the protocol.

Old Man
Title: Re: Protocol help
Post by: phil_t on March 18, 2010, 04:43:28 PM
Thanks for the reply Old Man.

I'll definitely slow down like you say, it's just really tricky to know what is the right/wrong thing to do, without having a doctor or professional explain and demonstrate things I feel a bit lost.  Thank God for the forum!

I know I asked this a bit earlier, but what would you recommend as a safe number of pumps per cycle to use in the first few weeks?  At the moment I am pumping 2/3 times then waiting 30 secs then another 2/3 then repeating this once or twice.  So probably about 9/10 pumps in total before releasing the pressure.  Does this sound ok?  Too much or too little?

Again, I really appreciate all the help guys.

Phil
Title: Re: Protocol help
Post by: Old Man on March 18, 2010, 09:56:10 PM
phil_t:

Your cycles appear to be OK, but I would suggest that you do not stay with the 30 second holding time. Maybe 5 or so seconds, release the pressure, and repeat the cycles for the overall length of time you will do your session. Suggest 15 to 20 minutes for each session to begin with and extend that time after you have become accustomed to the vacuum pressure, etc. However, do not overextend the time as you can do damage with that extra time, etc.

As for the number of pumps between pauses/releases, that is something you should establish on your own. Go by the feel of the vacuum, if it feels too tight or causes pain, slow down with the time and number of pumps. Just be careful with the amount of pressure and the length of time you hold the pressure up. Less it much better than more in VED therapy.

Old Man
Title: Re: Protocol help
Post by: phil_t on March 19, 2010, 05:24:09 AM
I'm not sure if I explained myself very well in that last post.
So, the first step in the protocol is to 'build negative pressure around the penis'.  The way I have been doing this is 2/3 pumps then wait 30 seconds then 2/3 more etc. until I feel discomfort, this is as described by Angus at the start of the thread.  After the final set of pumps I'll hold it 5-10 seconds before releasing the pressure.

Old Man, when you say to hold just 5 secs and then release the pressure, do you mean after the first set of 2/3 pumps?  The problem with that is that after only 2/3 pumps the penis is really only just starting to engorge so releasing the pressure at that stage seems premature.

Sorry to keep going over the same things, just trying to make sure I fully understand what I'm doing.
Title: Re: Protocol help
Post by: Old Man on March 19, 2010, 09:50:19 AM
phil_t:

There are many ways that one can do the protocol as far as personal preference about the number of pumps, waiting times and when to release and start over. You will just have to practice with different approaches to see what works best for you. Some guys pump several times, wait a few seconds and pump more until they reach a comfortable amount of vacuum, then hold for whatever time they want to, release the pressure and start over.

Since I used a one cylinder model way back in 1995, my protocol was for the one cylinder model. The protocol for the one cylinder models has been posted in the VED board by JackP and is a real good one, but you won't use that one, it is there for those who make their own VEDs or have the older one cylinder models.

Now, this is the protocol that I use with my personal approach to VED therapy. I assemble the unit and lubricate it as well as myself according to what is comfortable. Then I slide the VED down over the head and shaft until it gets all the way to my body. I do any adjusting as necessary to get the VED to go over the head and skin easily by moving it around as needed. While holding the VED firmly against my body, I start slowly pumping as many times as needed to get a good seal and start engorging the penile chambers with blood. Once I get a partial erection going, I hold at this point for about  seconds or so and release. I start over with another cycle and this time use more vacuum pressure as needed to engorge the shaft more and repeat the cycle as stated earlier. As my therapy session progresses with more and more engorgement of the shaft, I add more and more vacuum to finally reach a full erection point. After getting a full erection, I do as many pumping cycles as is comfortable, but not to exceed 15 to 20 minutes for each session. (A complete pumping cycle consists of reaching a full comfortable erection without pain, etc. holding the necessary time, release to start another cycle.)

I still recommend that you try several approaches to the therapy as stated above. Try doing the one I describe above, do any modification to it if necessary to suit your own feelings. Try other approaches too so that you may finally settle on one that fits your individual needs. Each and every case of Peyronies Disease is totally different from any other, so keep in mind. What works for me might not work you, IOW.

Old Man
Title: Re: Protocol help
Post by: phil_t on March 22, 2010, 06:35:54 PM
Old Man,

When you describe your cycle you don't say how many seconds you hold the 'partial erection' for.  Is that deliberate, i.e. I need to find my own time, or was it just a typo?

Thanks again, going to give your method a go now.

Phil

EDIT
Sorry, just reading through your post again.  Can I infer from this that you don't stick to the 10 cycles a session that is recommended on the 26 week protocol post?  Preferring instead 15-20 mins?

Also, do you think masturbating soon after a VED session could be harmful?

Thanks again
Title: Re: Protocol help
Post by: Old Man on March 23, 2010, 08:13:19 AM
phil_t:

Yes, you can modify the cycling times with the 26 week protocol to suit your individual needs. The protocol is only a suggested guideline to follow.

The 15 to 20 minutes time suggested is again only a guideline - you can use more or less time based on how your penis feels and reacts to the vacuum pressure. The 10 cycles is a suggest minimum number, but again can be adjusted to suit your individual case of Peyronies Disease.

Now about the "holding" time between cycles. Some protocols and doctors recommend pumping up to a good engorgement of blood and then holding it for up to 30 minutes. I have never used that much time, instead of using shorter holding time periods so that your erectile tissue gets many more "cycles" of engorgement and deflating, etc. This added activity of the tissue, IMHO, provides better overall training and remolding of the tissue. You can use your own judgment as to the amount of holding time that bests suits your case.

Hope the above helps, but will be glad to address any further questions you have - just let me know.

Old Man
Title: Re: Protocol help
Post by: phil_t on March 23, 2010, 10:14:57 AM
I'm assuming you meant to say 30 seconds there, not 30 minutes??

Also, do you think it could be harmful to masturbate soon after the VED session?

thanks old man
Title: Re: Protocol help
Post by: Hightemp on March 23, 2010, 12:38:36 PM
Phil_t,

My experience has shown that sexual activity soon after a session causes me some extended discomfort. Pain may be too strong a word, but I do experience an ache if I have sex. I now try to wait for at least 3 to 4 hours before having sexual activity after a session. It seems to help.


Title: Re: Protocol help
Post by: Angus on March 23, 2010, 06:29:56 PM
Quote from: phil_t on March 23, 2010, 10:14:57 AM
I'm assuming you meant to say 30 seconds there, not 30 minutes??

Also, do you think it could be harmful to masturbate soon after the VED session?

thanks old man

   He meant 30 minutes... there have been protocols in the past (not on this forum) that have suggested holding an erection in a VED for UP TO 30 minutes, which would be a HUGE mistake. This is to be avoided at all costs. 30 seconds is plenty for anyone... after a half minute (approximately) you're inviting edema, swollen skin, redness, pain and other awful side effects. As for masturbation, that's an individuals call. Just remember that a rest period is a good thing. Don't let anxiety and wishing to "make things better faster" get the best of you to where you are trying to do too much in one day.
Title: Re: Protocol help
Post by: Old Man on March 23, 2010, 09:50:02 PM
Angus:

Thanks for stepping in for me.

Old Man
Title: Re: Protocol help
Post by: Rickmud on March 24, 2010, 01:36:47 PM
For you guys that have overpumped using the VED. I'm curious about how many days had you been pumping and how long after overpumping did you realize you'd overpumped and what the symptoms were. Did you feel pain and discomfort when you overpumped or did it all seem okay at the time.

I've been using the 26 week method for about 6 days. No side effects yet. However I had read one of the old mans posts about using the pump to gently pull the shaft into the cylinder. Well that wasn't a problem for me the shaft always went in pretty easy. Today, after about the third pump up it no longer went into the tube easy and I had to use the pump to pull it into the cylinder as the old man described. But felt no pain or discomfort.
Title: Re: Protocol help
Post by: Old Man on March 24, 2010, 03:27:49 PM
Rickmud:

Sounds like from your post that you are removing the cylinder from your penis between cycles. If you are, you should discontinue this immediately. Simply let the pressure off with the release button, keep the cylinder mouth firmly against your body and repeat the pumping cycles. This will eliminate having to pull the penis shaft back into the cylinders as it will already be inside, etc.

Leaving the cylinders in place is best method of repeating the cycles. After you get into the larger cylinder cycles, you won't have a problem with getting the shaft into the mouth of the cylinder even after pumping up several times unless you have achieved a full erection that won't go down easily, etc.

Old Man
Title: Re: Protocol help
Post by: Rickmud on March 25, 2010, 12:09:09 AM
Thanks old man,

I'll quit removing it all the way. I was worried that I wasn't releasing all the pressure and wanted to make sure I was letting all the blood flow back unhampered. I'll have more confidence tomorrow and relax a bit. I do believe it is helping my circulation.
Title: Re: Protocol help
Post by: Old Man on March 25, 2010, 09:54:04 AM
Rickmud:

OK, sounds like you are learning very fast on how the VED works and what it can do for your symptoms. Yes, it does improve circulation a whole lot. However, using less pressure and being more careful during the early phases of the VED therapy will help more than one realizes.

You have to get the erectile tissue exercised well before adding more pressure. As time goes on in the protocol it will be able to absorb more vacuum and therefore afford more stretching. It is sort of like starting a workout routine at the gym, you have to work up the ones potential, etc.

Keep us up to date on how it goes for you so the whole forum can have the benefit of your experiences. Let us know if there is anything you need in the way of assistance.

Old Man
Title: Re: Protocol help
Post by: phil_t on March 25, 2010, 07:27:53 PM
Can I just clarify, it's better to just release the pressure and leave the penis in the VED during the 'rest' period of the cycle?  I have been removing the penis each time, just to make sure if wasn't under any pressure at all.

Also, it sounds like for some people that on releasing the pressure the penis doesn't necessary fully 'deflate'.  I find that when I release the pressure the penis goes straight back to its 'normal' flaccid state, does this sound like there may be a problem?

I also don't really feel like 'm getting an erection with the VED.  The penis is definitely engorging to an erection-type size but it just doesn't feel the same, more soft I think.  It's only been just over a week so maybe this is normal?

Thanks guys

Title: Re: Protocol help
Post by: Old Man on March 25, 2010, 11:35:25 PM
phil_t:

It is better to just release the pressure and let the penis deflate as much as it will over a few seconds. Then, pump up again and repeat these cycles for the entire time you want to devote to the protocol exercises. This will give you the best overall therapy action. If you remove the penis from the cylinder(s) you might have a problem getting the entire penis back into them again without a bit of trouble. Be sure that you use enough lube to provide a very slippery surface so that the penis can slide up and down in the cylinders freely.

Each and every case of Peyronies Disease is totally different from any other and therefore you will not get the same set of circumstances as others relate that they get. What your penis does and what theirs does in the therapy will not necessarily be the same. So, just apply your best judgment about what works best for you. What your penis does on releasing the pressure may or may not be the same as what another might do, so don't put too much stock in that area.

Most erections developed in a VED will not be the same as a natural erection. If everything is working right, an erection developed in the VED after you have used the therapy for several weeks/months will be totally different from you are seeing during the early weeks of the protocol, so keep the faith and you will see better results as the weeks go by.

Old Man
Title: Protocol help
Post by: Rickmud on March 31, 2010, 11:35:14 PM
I have completed 12 days of the 26 week protocall. I am starting to get a better feel for the method and getting used to the pump. I have no redness or signs of damage. I've lost all of the peyronnies discomfort I had been feeling for over a year. I was not in pain but felt something internally was not right several times thoughout each day. I suspect I have always had bad circulation and that peyronnies in my case was caused by poor circulation. I also started taking 3 grams of L-Argenine broken up over 3 times a day. I'm taking 400 IU Vitamin E. I'm taking 2000 IU vitamin d3/K2. Been taking that for about 3 weeks. I added 1200 mg Acetyl L Carnitine taken 400 mg 3 times a day. I'm afraid to take more as by blood pressure is running on the high side. I have begun measuring each day when pumped in the cylinder. I've gone from a 5" pumped length to a 6-1/4" pumped length. I began noticing a few days ago that my shaft expands to the id of the tube easily. However the area where the pyronnies bend is does not ever expand to the id of the tube. That area does not appear to stretch at all. I have experienced no change in the degree of the bend. Has anyone else experienced this. Do I need to up the pressure?
Title: Re: Protocol help
Post by: souldigger on April 01, 2010, 08:43:08 AM
I need some encouragement about the VED protocol but not, perhaps, for the reasons typically mentioned. I'll do my best to speak plainly.

My problem is that when I do the protocol I almost always become aroused. After several days using the protocol I feel "horny" almost all the time and become preoccupied with sex, which often leads to masturbation and wanting to look at pornography. I think this is a sin, so I have stopped the protocol for many months now.

IF I had more confidence that the protocol would produce results I would try it again and try harder to control my feelings.

So my question is simple--are those of you who are following the protocol seeing improvement? I know results vary considerably, but I'm just looking for some encouragement before I start trying it again.
Title: Re: Protocol help
Post by: bummedout on April 01, 2010, 11:29:47 AM
Unfortunately for men, you either use it or lose it.
Title: Re: Protocol help
Post by: Rickmud on April 01, 2010, 12:03:40 PM
Souldigger,

The VED and the porn issue, are seperate issues. I am not an expert but I believe the use of the VED increases lost blood flow which in turn revives nerves and signals between the brain and the penis. my sex drive has increased as well, however the VED does not give me erections. The VED addresses and in my opinion helps one physically.

The porn issue is an entirely different issue. I would think you should just fall back to what you did before you had peyronnies. How did you deal with your issues then? I would default back to your mindset before you had peyronnies problems.

I wouldn't give up the VED. I'd put down the porn and concentrate on regaining your health, if the  porn is a problem for you. That's just my opinion. Good luck.
Title: Re: Protocol help
Post by: souldigger on April 01, 2010, 10:05:12 PM
I appreciate the encouragement and counsel regarding how to manage my personal issues.

But my question is actually much more fundamental--is the VED protocol effective enough that it is worth taking on the other challenges? The posts I read on the board about its effectiveness don't seem entirely conclusive.
Title: Re: Protocol help
Post by: Rickmud on April 02, 2010, 12:12:05 AM
Souldigger,

That is a difficult question to answer. I have just finished the 1st 2 weeks of the 26 day protocol. I see no improvement in my shape or degree of bend.  I have recovered back some of the feeling I had lost with pyronnies. Orgasms are better. I am aroused more. Those are three things that my Urologist told me would never come back. Is it like it was before. No, but it is better than it was.

Is it going to fix the bend? I don't know. I do have hope. Everyday I use the device I feel like I'm taking action against the curse.

Is it worth coping with the carnal feelings it seems to bring out? Only you can answer that one. I believe that if you do falter. God's grace is sufficient. I hope whatever you do. It goes well for you.


                     Rick
Title: Re: Protocol help
Post by: BrooksBro on April 02, 2010, 07:01:30 AM
Souldigger's posting sure hits home with me.  As with the peyronies' condition itself, I have not yet found fully  satisfactory answers.  Inside the marriage covenant, the arousal can be (should be) shared with ones spouse.  For single guys, this is hugely more difficult.  porn-free dot org has some study guides which may be helpful.  Porn is like a lion, prowling around, actively seeking opportunities.  Fighting temptation is a daily struggle.
Title: Re: Protocol help
Post by: Old Man on April 02, 2010, 10:14:32 AM
Souldigger:

You have asked the 64K dollar question whether or not VED therapy will help you with your Peyronies Disease. That question can only be answered by you in how you apply the 26 week protocol and with what VED you use. VED effectiveness can only be achieved by oneself when you stick with the protocol, do not overpump the pressure, and apply any variation of the suggested protocol that suits your individual case. You must prevent any additional injury to your penis by observing the basic rules which are: do not overpump the pressure and do not hold the pressure too long before releasing it.

Each and every case of Peyronies Disease is totally different from any other. Each person has his own set of symptoms, (curves, bends, plaque, indentations and inability to achieve erections, etc.) and has to address them with whatever works for him. Oral medications may or may not apply for each case. So, you should decide if you wish to add these to your VED schedule of therapy. Some guys have seen success with oral meds and others have had no success. Peyronies Disease is a case where one has to keep on trying any and everything to determine if they will work for him or not.

One word of caution though, if you embark on a VED therapy protocol, be prepared to be in it for the long haul. VED therapy is not, repeat not, an overnight success story. It takes much time and patience to stay with it in order to achieve any good results. Some guys do the 26 week protocol without much success and then start over with another schedule. Then during the second session of exercises, they do get success. Only you can determine what you desire to do with the VED therapy, so seriously consider the final outcome before deciding to drop it from your regimen of therapy/treatment.

There are a lot of guys who have success with the VED therapy, but never bother come back on the forum to report their individual cases. This prevents new guys from having the success stories to help them make a decision about VED therapy. I suggest that you try to read as much as you can on the VED board though all the subtopics to get a better picture of VED therapy.

Feel free to ask any and all questions about VED therapy and we will endeavor to help you.

Old Man

Title: Souldigger and all...
Post by: Angus on April 02, 2010, 09:42:16 PM
 
    Think of VED therapy as physical therapy that has nothing to do with arousal. It is similar to what one goes through after shoulder surgery, knee surgery and the like. A person wouldn't think of dropping therapy after surgery after two weeks. It is simply not enough time. As Old Man said, these things take much time and COMMITMENT. Commit to the therapy, be faithful by using it every day if you can and give your body time to heal and remodel itself. Old Man and myself have read of enough success stories with the VED therapy to believe in it. It worked for us, and there is nothing that makes me believe it wouldn't work for the majority of men who decide they are going to stick with this therapy for 6 months, a year, or more. I did the therapy regularly for almost a year and a half before there was a significant reduction in the bend. I guess it depends on how bad you want something to change. I have a hard time understanding how someone can drop the therapy after a couple of weeks. Think of it this way... the VED therapy isn't something you TRY... it is something you make up your mind to DO. Start, middle and finish no matter how long it takes. If a person does the VED for 2 weeks, that means nothing. 2 weeks is about enough time to begin learning how to use the VED and that's ALL. It worked for me and the bend is almost gone. I really don't know what else to say, except I hope more men with Peyronies would give the VED a fair chance of working.
Title: Re: Protocol help
Post by: Old Man on April 02, 2010, 10:44:39 PM
Note to all:

I second each and every word that Angus says in his post below!! Most guys at two weeks into their therapy schedule have just begun to realize the whys and wherefores of even using the VED correctly. That is not enough time to see any possible change in ones condition.

VED therapy is one for the "long haul" and not just a try for a short time and quit. We all know that VED therapy is not a cure all for each and every case of Peyronies Disease, but unless it is given a fair chance to work, one would never know what could have happened with their symptoms.

The above is just a few comments that come to mind after reading so many posts lately about VED not working, etc. It is like anything else, unless you try it, don't knock it!!

Old Man
Title: Re: Protocol help
Post by: souldigger on April 13, 2010, 09:47:22 PM
Just a quick note that, Angus and Old Man, I read you loud and clear. What you are saying makes a lot of sense, especially the analogy comparing it to physical therapy after knee surgery.

A couple more comments:
1. I'll speak for myself regarding the issues I mentioned earlier--they're no issues at all for me now. It's very much a matter of attitude, spirit and what I set my mind on.
2. Whether I should be perceiving changes after only a week of the protocol, I can't say. That I am experiencing changes for the positive is incontrovertible. My positives are in line with some of the comments that others have made with apparent increase in length when flaccid and improved circulation.

Now for another question--has anyone tried doubling up on the protocol and doing it twice a day? I think I might sometimes be able to manage it but don't want to risk overdoing it. What think ye?
Title: Re: Protocol help
Post by: Old Man on April 13, 2010, 10:01:48 PM
souldigger:

Yes, you can do two exercise sessions per day. Would strongly recommend that you reduce the overall time of each session by a few minutes from the time you are now doing the one session.

Just remember not to use too much vacuum pressure, especially when doing two sessions per day. I did only about 20 to 30 minutes of the protocol after the first 26 week cycle. That is, in the second round with the protocol. In my first round, I did only 15 to 20 minutes overall.

Hope this helps, if not, let me know.

Old Man
Title: Re: Protocol help
Post by: phil_t on April 21, 2010, 03:20:18 PM
Hi,

I'm still pushing on with the protocol, may have been some slight improvements with one side of the penis 'thickening' out abit again but nothing major so far I'd say....however, still early days, I'm on week 5 at the moment.

One thing that I just noticed today though is a thin, white-ish layer of 'skin' over part of the head of my penis.  It's not something I've seen before and it peals away pretty easy.  Has anyone else experienced this?  Any idea what caused it?  I don't know if it could be from the head rubbing against the inside of the tube, or from overinflating?  I did change lube, but that was well over a week ago now so don't think it would be that.

If anyone has had this, any suggestions on how to treat/aviod it?

Thanks guys.
Title: Re: Protocol help
Post by: Old Man on April 21, 2010, 03:41:03 PM
phil_t:

I have seen this happen before with one or two guys using the VED therapy. As near as we could determine from the procedure they were using, it appeared they were slightly overpumping the pressure and holding it too long. In the process of being overstretched, the skin was traumatized. It recovered from the extended pressure and just "healed" itself leaving the dead layer to peel off when they started using less pressure.

They had no lasting symptoms and it cleared up after they started using less pressure. Again, for all thoseconcerned, VED therapy is still a case where less is better than more.

Old Man
Title: Re: Protocol help
Post by: pichou on April 21, 2010, 03:54:12 PM
I am one of those guys who has great success with the 3 cynlinder VED. I finished the 26 week protocol 3 weeks ago & I have decided to do another 26 weeks. I had about a 25 % curve in my penis & had shrunk in length & width about 1.5 inches before I started the VED. At this time I gained back all of my length and only have a slight indentation on the left side of my penis where the plaque from the Peyronies disease is located. My erections are stronger and so is my psychological state. My only regret is that I didn't find this website sooner and started VED therapy allot sooner. By the way it took me about 3 months of doing the VED religiously before I started to see big improvements in my Peyronies.

Pichou
Title: Pichou
Post by: cowboyfood on April 21, 2010, 06:28:29 PM
Pichou,

Congratulations and thanks for sharing your story!

CF
Title: Pichou
Post by: Angus on April 22, 2010, 12:39:36 PM
Pichou thanks for sharing your success with us. Keep us updated as you start the next round of VED physical therapy.
Title: Re: Protocol help
Post by: YMENOW on April 26, 2010, 06:08:12 PM
I am in my first week with the 3 cylinder Ved and feel that I am doing well.  The first surprising result is I don't feel the "constrictions" in the shaft during the morning erections.  I feel as if my morning erections are hard but not tight.  The experimenting and getting acquainted with the VEd prior to starting the 26 protocol gave me some confidence and now have given me hope that I will get better.  However, during the therapy I have been pulling my engorged shaft out of the tube between cycles.  I was afraid that I would damage the vessels on the visible veins on the shaft.  I will definitely correct that; therefore,  I am glad I re-read the prior posts with recommendations from Old man.

One question I do have is: Does the vacuum pull in more blood into the outer layers of the shaft as well as to the erectile tissue within the corpora cavernosa?  I assumed that tissue was damaged by the peyronies?   

Having tried acupuncture for awhile, I did end up with more morning erections than ever before.  Perhaps the acupuncture therapy did help me in a way but it seemed as if there was nothing happening with helping me with the "constriction" discomfort.  I stopped that therapy when I started the 26 Week protocol.
Title: Re: Protocol help
Post by: Old Man on April 26, 2010, 07:53:08 PM
YMENOW:

Again, I would strongly urge you not to withdraw your penis especially when using the small A cylinder and perhaps the medium B cylinder. When you are on the C large cylinder is would not make any difference.

However, there is really no valid reason to ever withdraw your penis from the cylinder(s) while doing the VED exercises. You would simply be wasting time you could be be doing another cycle. And, it is sometimes very difficult to get shaft back inside the small A cylinder if you have acquired even a partial erection.

The protocol is designed to exert the best pull of blood flow into the erectile tissue, so any blood that is left in the chambers when you withdraw the shaft from the cylinders is "lost" and must be pulled in again, etc.

Old Man
Title: Re: Protocol help
Post by: YMENOW on May 06, 2010, 05:14:10 PM
"You have to get the erectile tissue exercised well before adding more pressure. As time goes on in the protocol it will be able to absorb more vacuum and therefore afford more stretching. It is sort of like starting a workout routine at the gym, you have to work up the ones potential, etc."

I have tried to read as many posts as I can so that I don't repeat; however, I have a question about Viagra or Cialas and the use of them in the protocol therapy.  As I understand from reading the posts, many are on a miniscule regimen of Viagra and they still are using the VED.  Could that be a problem since some say that the erection with the VED is not like a normal erection?   

Anyway, I am in the second week of the protocol--- patient and trying not to hurt myself.  I do see the veins on the shaft engorged but am wondering if the erectile tissue is getting any of the benefits of my big effort.

ymf
Title: Re: Protocol help
Post by: ComeBacKid on May 06, 2010, 05:50:08 PM
YMENOW

You could not use viagra while doing the VED, that would be fine, I wouldn't take it if I were you while pumping.  Week 2, it will take many more weeks, stick with it, little change is noticed in the first four weeks.  As long as your feeling up your penis to its fullest point without any pain, your doing it correctly.  Don't pump fast though like a basketball, pump slow, especially int he beginning as you warm up.  Patience, and going slow are the key. Eventually you'll start to see results, but it takes awhile, its not an overnight thing to stretch damaged tissue. 

Comebackid
Title: Re: Protocol help
Post by: YMENOW on May 07, 2010, 05:41:38 PM
Thanks for your input and I constantly have to remind myself that it is a long haul but it will definitely help me.  I see some evidence of the difference in my erections already. In my post, I referred to others on a regimen of "biting" off some viagra etc on a daily basis that got me to wonder if that was good. 

Since I was diagnosed with Peyronies Disease awhile back and told "it will go away", I was given a prescription for Viagra.  I was pissed off at the Urologist at that point since he said I had ED.  I really didn 't think so since I was able to get erections at that point but of course it was painful and I had a bend.  I figured that there must be something wrong if the Doctor prescribed it so I  started to use the pill but I broke it up.  Well, I am reading that Viagra is used for better circulation but I am on blood thinners also. 

I guess, a lot of my hang-ups have to do with anxiety about the situation that I am in.  I am frustrated with the doctors since they didn't send me to someone who was knowledgeable like Dr. Mulhull.  I feel that I am doing things on my own now and taking charge of my predicament.

ymn

Title: Re: Protocol help
Post by: BrooksBro on May 08, 2010, 05:55:42 AM
I suspect there are many of us who are on what my urologist calls "triple therapy."  That is:  25 mg Viagra nightly, 1,000 mg (or more) L-Arginine nightly, and 400 mg pentoxifylline 3X daily.  The 25 mg Viagra and L-Arginine are to encourage and enhance naturally occurring night time erections.  http://en.wikipedia.org/wiki/Nocturnal_penile_tumescence

Title: Re: Protocol help
Post by: skunkworks on May 08, 2010, 07:25:22 AM
Quote from: BrooksBro on May 08, 2010, 05:55:42 AMThe 25 mg Viagra and L-Arginine are to encourage and enhance naturally occurring night time erections.  http://en.wikipedia.org/wiki/Nocturnal_penile_tumescence

In my limited experience, this is THE most important part of treatment. Without nocturnal erections the penis just does not function as it should.
Title: Re: Protocol help
Post by: YMENOW on May 08, 2010, 01:20:23 PM
Does the 25mg of Viagra taken daily help if you are on the VED protocol?  Does that enhance the blood flow in the stretch? 

It seems like a lot of medications are necessary to overcome the damage to the tissues and it seems like every doctor has a different protocol in the treatment. 

ymn
Title: Re: Protocol help
Post by: Old Man on May 08, 2010, 03:56:59 PM
YMENOW:

Taking a low dosage of Viagra during the stretching exercises with the VED can and will enhance the blood flow. However, just be careful not to overpump the pressure. The Viagra will make for better erections and at the same time the added blood needs to be carefully monitored with the VED usage.

Just use the trial and error method to determine if you see any good or better results with using Viagra with the VED protocol. If you do not see any, would suggest not taking it to save the bucks.

Old Man

Title: Re: Protocol help
Post by: BrooksBro on May 09, 2010, 06:27:22 AM
George Sheehan, MD, wrote:  "Life is the great experiment.  Each of us is an experiment of one-observer and subject-making choices, living with them, recording the effects."

Unfortunately (for us!) there is not a single "peyronie's medication."  There are medications and therapies which are generally regarded as effective by the physicians who are most experienced, but not every patient responds equally to them.  The human physiology is incredibly complex, so it is not surprising to me that the treatment for one person may differ from that of another.  We are each unique.

Quote from: YMENOW on May 08, 2010, 01:20:23 PM
It seems like a lot of medications are necessary to overcome the damage to the tissues and it seems like every doctor has a different protocol in the treatment. 
Title: Confusion Regarding Protocol
Post by: Fred22 on May 21, 2010, 11:42:14 AM
I've had my VED since December, but every time I start the protocol my pain increases and I stop.  I'm planning another attempt but I still have some confusion regarding what sort of results I'm looking for when pumping.  I just read a post by Angus who said to pump 2 or 3 times, wait a few minutes, pump a little more, etc. until you achieve (I believe these are his words), a rigid erection. I've asked Old Man about this before and he says not to try for a real erection with the A cylinder.  When I pump, my penis does get a little longer and the girth increases somewhat, but nothing like a real erection.  (I do still get nocturnal and AM erections).  Can someone please clarify once again exactly what results I should be looking for when pumping with the A cylinder...full rigid erection or slight engorgement?

Fred
Title: Re: Confusion Regarding Protocol
Post by: GS on May 21, 2010, 12:00:58 PM
Fred,

I'm in my 17th week and I still don't get anything close to a real erection.  I think you pump a couple of times, wait a few seconds and pump one more time and then hold the pressure for 15 to 30 seconds.  While holding the pressure, try "milking the VED".  That will add a little more pressure and help with getting the blood flowing without adding more pressure.

After you hold the pressure for the few seconds, release the pressure and start over.  After a few times of "pumping and holding", your penis will get bigger and bigger, but, based on my experience, not get a real erection.  Do the pump and hold about 15 or 20 times and call it a session.  It should only take about 15 to 20 minutes.

If you pump the pressure up too much, all you will get is pain and suffering.  Go slowly and relax while you're doing it and it will get easier and easier as you get used to it.

GS
Title: Re: Confusion Regarding Protocol
Post by: Old Man on May 21, 2010, 12:37:45 PM
Fred22:

OK, to answer your question about what results one should see with the A cylinder: The confined area of the A cylinder is designed that way to pull as much of your penis into the cylinder without any pain or discomfort and hold it straight. Since the penis is confined into such a small space, it will hold the shaft in as straight a shape as possible. This in time can and will cause the erectile tissue and tunica to be remoldled and possibly help straighten the shaft. Notice that I say possibly. There is no certain guarantee that the tissue will be straightened in all cases. Most cases do see some result in this area.

Further benefits of using the A cylinder will cause more blood to flow into the erectile tissue than with a normal erection. This added blood flow will make ones penis more healthy and can lead to better erections. Patience with VED therapy is a must, so don't get in a hurry and expect overnight changes. Peyronies Disease comes on slowly and most likely will go away slowly.

If you are experiencing much pain with VED therapy pumping cycles, you might be using too much vacuum pressure. VED therapy is a case where less is better than more. Just take it slow and easy and see what happens. Be glad to answer any and all questions, so feel free to ask.

Old Man
Title: Re: Confusion Regarding Protocol
Post by: newguy on May 21, 2010, 02:08:33 PM
When you guys (Fred , GS) state that you don't get anything resembling an erection when using a VED, are you saying that your penis does not get much of a stretch in the VED? If this is the case, then I would say that maybe that could be an issue. I've just started on the VED again, and quickly remembered that it's important not to pump too fast, else the amount of stretch that I gained at a set pressure would differ each time. It doesn't sound like you are rushing the process at all, but you bring up an interesting point.
Title: Re: Confusion Regarding Protocol
Post by: GS on May 21, 2010, 04:38:34 PM
My penis gets enlarged to about the same size as an erection, but it's not really hard like an erection.  I completely fill the small cylinder and almost fill the medium.  I feel like I'm getting a good stretch as far as elongation is concerned and don't feel comfortable if I add more pressure.  When I first started the therapy, I was using more pressure and had some bruising and soreness.

When I remove the VED, my penis feels and looks like it is engorged with blood.  Then, by the time I'm finished with my shower and shaving, etc., it's pretty much normal size again.

I guess my bottom line is I'd rather err on the conservative side even if I have to do the protocol another 26 weeks and this first time through is just for practice.

It will be interesting to see how many of us are getting an actual erection with the VED and how many are like me; just getting enlarged.

GS
Title: Re: Confusion Regarding Protocol
Post by: Old Man on May 21, 2010, 05:25:35 PM
GS:

Some of the confusion about erections with the VED come from the fact that many guys do not get natural erections. Others may be taking meds for a heart condition or other malady that precluded getting a natural erection. Diabetes is one of the worst erection killers in the medical field. Type I is worse than Type II in that department.

If one can not get a natural erection, an erection developed by the VED can not and will not stay up after the penis is removed from the cylinder. So, those factors stated above should be taken into consideration where erections are concerned with VED therapy.

Radical prostate cancer surgery also precludes erections if the surgery was not a nerve sparing one. My surgery in 1995 left me totally void of any natural erections for many years. Now, with proper manual stimulation, I can get an erection, but must use a retainer ring to help hold it up long enough for sex. However, at almost 81 years old, natural erections would normally be few and far between anyway!!!

The above are just my observations from my experiences over the years since developing Peyronies Disease.

Old Man
Title: Re: Confusion Regarding Protocol
Post by: LWillisjr on May 21, 2010, 06:47:56 PM
Quote from: Old Man on May 21, 2010, 05:25:35 PM
If one can not get a natural erection, an erection developed by the VED can not and will not stay up after the penis is removed from the cylinder. So, those factors stated above should be taken into consideration where erections are concerned with VED therapy.

Old Man

In this case, I thought constriction bands were used to help hold the erection after VED removal.
Title: Re: Confusion Regarding Protocol
Post by: Fred22 on May 21, 2010, 08:02:27 PM
Quote from: GS on May 21, 2010, 04:38:34 PM
My penis gets enlarged to about the same size as an erection, but it's not really hard like an erection.  I completely fill the small cylinder and almost fill the medium.  I feel like I'm getting a good stretch as far as elongation is concerned and don't feel comfortable if I add more pressure.  When I first started the therapy, I was using more pressure and had some bruising and soreness.

When I remove the VED, my penis feels and looks like it is engorged with blood.  Then, by the time I'm finished with my shower and shaving, etc., it's pretty much normal size again.

I guess my bottom line is I'd rather err on the conservative side even if I have to do the protocol another 26 weeks and this first time through is just for practice.

It will be interesting to see how many of us are getting an actual erection with the VED and how many are like me; just getting enlarged.

GS

GS- You say you FILL THE A CYLINDER!  Do you mean lengthwise or girth or both?  I don't come anywhere near filling the cylinder lenthwise.

Fred
Title: Re: Confusion Regarding Protocol
Post by: newguy on May 21, 2010, 08:22:13 PM
I think the whole point of using the VED is that you effectively achieve an erection within the tube, which is held in place due to the restrictive nature of the tube. Of course for those using a very small tube, the penis will not have the appearance of a typical erection because it's restricted widthwise. It should though, surely be roughly stretched to the length of your penis, else I'm at a loss at where the stretch is actually occuring. If a person has a 6 inch penis, and while pumping they never get beyond 5 inches I don't think this can be deemed effective stretching. Of course I'm a relative notice at this, so others can chip in if I'm misrepresenting the process.

i've read a few people saying that they pump 2 or 3 times and then hold it. I'm not really familiar with that process. I tend to do lots of little pumps over the course of a couple of minutes and that seems to work for me. If you pump way too fast it might result in you reaching the same level of suction, but I doubt you'd have a good stretch within the tube.

Title: Re: Confusion Regarding Protocol
Post by: Old Man on May 21, 2010, 08:41:35 PM
Newguy:

You are entirely correct. Short pumps with a few seconds waiting time between them will give a better stretching action, especially in the small A cylinder. One thing that has not been mentioned lately is the lubrication in the small tube. Plenty of lubrication must, repeat, must be placed well up into the cylinder so that the penis head portion has a slippery surface to slide on and into. A dry cylinder wall will definitely cause the penis to stick and not stretch or expand properly.

So, bottom line, one must use a proper procedure when following the protocol to see the best results.

Old Man
Title: Re: Confusion Regarding Protocol
Post by: YMENOW on May 22, 2010, 04:13:49 PM
Quote from: newguy on May 21, 2010, 08:22:13 PM
. I tend to do lots of little pumps over the course of a couple of minutes and that seems to work for me. If you pump way too fast it might result in you reaching the same level of suction, but I doubt you'd have a good stretch within the tube.}

"The same level of suction" seems to confuse me.  I believe I pump 2 or 3 times in less than a minute where I do get engorged.  Then I release and wait 10 to 15 seconds and pump. 

I guess I will try and stretch it out hoping that I get more in the stretch.  Since I am in the beginning of the protocol, I am taking it easy and afraid to hurt myself.  I have enough other issues to deal with. 

It is good to hear from others' experiences with the protocol, since it definitely will help improve my therapy.

ymn


Title: Re: Confusion Regarding Protocol
Post by: YMENOW on May 22, 2010, 07:47:38 PM
I am still learning how to post and apparently I screwed up using Newguy's protocol. 

I tried your therapy pumping slow over the 2 minutes and believed that I did get better stretch.  My stretch also improved with more lube....guess I was trying to save it, although I did get a great deal at Wal-mart like Old Man recommended!!  Thanks.

Am willing to try to improve and that also means with posting on this site.   Sorry.

ymn
Title: Re: Confusion Regarding Protocol
Post by: Old Man on May 22, 2010, 09:41:59 PM
ymn:

Practice makes perfect is an old saw from way back! So, keep on practicing the exercises and modify them as you develop your own procedure that works best for you.

Yes, more lube does help with getting more of the shaft on out into the small A cylinder. It also helps with the B and C cylinders when you get into them later on in the protocol. The Walmart OTC Equate personal lubricant is about the best for the price there is out there. It is water soluble and does clean nicely with warm water and soap solution.

If you are not too far along in the protocol, I would suggest that you start over now that you have a better grasp of what you need to do.

Old Man
Title: Re: Confusion Regarding Protocol
Post by: GS on May 24, 2010, 09:39:36 AM
Fred,

No, the cylinder is plenty long for me; I was referring to girth and not length.

I do think I will try adding a couple of short pumps after 2 full pumps and see if I can a fuller erection.

Thanks to all for your impute and I have to say...I'm glad we have Old Man as a sounding board.

GS
Title: Re: Confusion Regarding Protocol
Post by: skunkworks on May 24, 2010, 09:46:40 AM
The problem that I am running into is that the inside diameter of the sizing adapter for my VED is 1.75" while my penis diameter is between 1.8 and 1.9 depending on arousal level. I'm probably going to need to get rid of the sizing adapter and build my own rubber seal for the tube.

OldMan - Did Iceman contact you about making sure he was using the VED correctly?
Title: Re: Confusion Regarding Protocol
Post by: Old Man on May 24, 2010, 11:50:21 AM
skunkworks:

I would not recommend dropping the sizing insert in favor of making your own. The difference you quote in your post is not enough to worry about. The blood will flow into the shaft even thought the sizing insert is a bit smaller. The smaller size helps hold the blood in the erectile chambers, so that is not a bad thing, in fact it helps. Just be sure that you only apply enough vacuum to promote good blood flow.

Assuming that you are using the Vitality OTC three cylinder VED, it came with two sizing inserts. The smaller insert can be left out while using the small A cylinder since it might be too confining, but you must use the larger insert to prevent pinching of the skin when using the B and/or C cylinders. Have found only one or two guys who were simply just too large to use the small A cylinder. Care must be exercised when using the small A cylinder due to its size and confining area, etc. Plenty of lube is a must also to provide a very slippery surface for the shaft to slid into and out of the cylinder. Shaving cream has been used by some, but it really is not a good lubricant since it can and will dry easily which leads to more friction rather than lubricating factors.

No, Iceman has not contacted me lately about the VED assembly, protocol and/or usage. We have in the past PMd each other about some factors, though.

Old Man
Title: Re: Confusion Regarding Protocol
Post by: skunkworks on May 25, 2010, 03:17:19 AM
Quote from: Old Man on May 24, 2010, 11:50:21 AM
I would not recommend dropping the sizing insert in favor of making your own. The difference you quote in your post is not enough to worry about. The blood will flow into the shaft even thought the sizing insert is a bit smaller. The smaller size helps hold the blood in the erectile chambers, so that is not a bad thing, in fact it helps. Just be sure that you only apply enough vacuum to promote good blood flow

The reason I am considering it is because when I get an erection I can see the line where the sizing insert ends, and my penis expands larger beyond it. This is an erection in no way connected to ved usage.
Title: Re: Confusion Regarding Protocol
Post by: MikeSmith0 on May 25, 2010, 06:16:24 AM
.
Title: Mikesmith
Post by: Angus on May 26, 2010, 03:24:18 PM
Re: your questions:
1. A good stretch could be defined as an erection that doesn't hurt. An overstretch is when a few more pumps than necessary are applied. You would have pain in the penis and around the pubic bone, the skin would develop swelling (edema) and wouldn't be fun. These guidelines are to get people started and be safe; you must listen to your body and not go beyond safe limits and cause pain and swelling. A normal feeling in the VED is strange at first because of contact with the tube sides (smallest tube). The vacuum is pulling blood in as opposed to a natural erection that comes from your own blood pressure; getting used to that feeling is strange for some.

2. 30-45 seconds after you get the erection is what is meant. Take your time at first; there is no rush to erection. Get used to the feeling of the VED. Hold as long as you want to at first (up to 45 seconds). You may feel uncomfortable, but NOT in pain. If it hurts, stop and re-group, then start over after a short break. There is NO pain associated with any of the VED protocol done correctly.

3. Don't worry about a longer stretch at first. It will come with time. This is re-hab, and is not a fast process. Give your body time to adjust to what the VED is doing. Do not over pump but stick with daily use and practice; your body will respond if you stick with it. This is a critical time... lots of men feel frustrated and drop the VED some time around this point where you're at.
You're not using it wrong; you're just starting out.
Title: Re: Confusion Regarding Protocol
Post by: MikeSmith on May 27, 2010, 02:08:22 AM
Angus, thanks for your help.  The last thing I just wanted to make sure I understood is if there is a time limit from the beginning I put it on and pump the first time to when I hit the black button to release the pressure.  So, if it takes 3 minutes to get an erection and then I hold it for 30 seconds, is that too long?  That would make the whole daily protocol 35 minutes then...just as an example.  It might take less time to get an erection though.

Oh - also , releasing the pressure via the black button still seems to leave some pressure - because when I remove it from my body altogether it sort of sounds like a suction cup coming off...so I've read (on here) not to remove it "all the way" in between cycles... but then again, that would mean some pressure is always on it thru the whole protocol.

What you said makes sense about taking it slow & the fact it's a rehab & learning experience...yeah, fastsize was (and still sometimes is) like that too.   I saw a video w/ Dr. Levine where he says this is all going to happen at "glacial speed" so I have to set my expectations for 2012...
Title: Re: Confusion Regarding Protocol
Post by: Angus on May 27, 2010, 11:35:16 AM
30-35 minutes for a session is not unreasonable. A few minutes to pump an erection then hold for 30 or so seconds is not unreasonable. The thing to remember is to change your routine if something hurts, turns red or swells up or any other symptoms that you deem out of the ordinary for your body. Unlike rehab for shoulder surgery or the like, there is no rehab coach there with you helping with the VED (a good thing, IMO ha ha) so you have to adjust the time frames yourself to a system that you are comfortable with while staying reasonable and within the guidelines. We will do the best we can to talk about the protocol with the written word here, but in the end you must decide on a particular day whether you hold for 20 seconds, 30 seconds, 45 seconds or whatever.
Title: Re: Confusion Regarding Protocol
Post by: Skjaldborg on May 27, 2010, 12:32:03 PM
Quote from: MikeSmith on May 27, 2010, 02:08:22 AM
because when I remove it from my body altogether it sort of sounds like a suction cup coming off...

My guess is that after releasing pressure from the valve that the chamber is actually at normal atmospheric pressure. However, when you remove yourself from the chamber, you are in effect lowering the pressure again (creating suction) because you create more space as you pull out of the VED while not adding a corresponding amount of air. When you pull out all the way, you hear the sound of air rushing in to the VED due to the slight vacuum you have created.

Perhaps one could hold the release valve while pulling out to normalize pressure?

-Skjald
Title: Re: Confusion Regarding Protocol
Post by: Old Man on May 27, 2010, 03:33:49 PM
Note to all:

I am highly recommending that you do not pull your penis out of the cylinder(s) while doing the entire pumping session. Just release the pressure with the button, hold it down (open) while holding the VED against your body to keep a good tight seal and let the pressure equalize in the cylinder. Wait for whatever time you feel comfortable with and then resume your pumping cycles. Again, be careful with the amount of vaccum used and do not overpump the pressure at any time, or else you will pay the consequences!!!

If you remove the whole VED from your shaft, you will most likely have to regain the size you accomplished in the first place before getting a good vacuum pull again. So, use your best judgement about times of relaxing from the cycles and the amounts of time you do the cycles. Base this on how your penis feels and reacts after each and every session. It is best to err on the side of caution than on the side of recklessness.

Old Man

PS: I speak from the voice of experience after many horrible results of being careless with the vacuum pressure!!!
Title: Re: Confusion Regarding Protocol
Post by: MikeSmith on July 08, 2010, 01:05:11 AM
I am a couple weeks in to this & it's going well... just have 3 questions.

1-  The whole protocol now only takes me 15 minutes because I am more versed in getting an erection w/ the pump.  Is that not long enough of a session?  I am still holding it for 30-45 seconds each time I reach my maximum erect state.  Should I pump it a little slower or hold it longer?

2-  When I get to full size in the tube, I feel pain (not in a bad way) on my dorsal plaque.  Is this normal?  It feels like stretching sore hamstrings...it's not a bad pain but unusual to feel in the penis.  I have done this a number of times with no post-session discomfort or bruising, etc...Also, I have a 90 degree upward curve, but the tube doesn't allow for this to happen obviously...so I wonder if the pain is just the fact the tube is pushing down against the curve - which is probably a good thing?

3-  When I am at the fullest stretch, I've felt something like a rubber band shifting (didn't hurt) but scared me (like I overpumped things).  I've felt that 3 or 4 other times...and I wonder if that is familiar to anyone or what that could be... or if it's a warning sign I have gone too far.  Again, there were no negative effects after that shift (or snap - hard to describe) in terms of pain or bruising.
Title: Re: Confusion Regarding Protocol
Post by: Old Man on July 08, 2010, 08:12:20 AM
MikeSmith:

I will answer your questions in the order you presented them:

1. IMHO, you should reduce the holding time from  30 - 45 seconds back down to 10 - 15 in lieu thereof and add more cycles of the pump up and holding time. This will give your penis much more stretching time and ''pull''. Overall the more cycles you do will give much better performance of the therapy.

2. OK, remember my caution throughout all posts about VED therapy where it is stated over and over. ''if you feel any pain or discomfort during any pumping cycle stop and find the cause before resuming pumping''. VED therapy pumping cycles should not produce any pain or discomfort with only mild to moderate vacuum pressure. Since you have a 90 degree curve, you should use only enough pressure to give a moderate ''pull'' with the vacuum. Once your curve starts to recede you can add more pressure if no pain exists, etc. Reducing the holding times stated above should reduce the possibility of receiving pain etc. You should feel some pull on the plaque area with the vacuum pressure, but not pain. So, again, use extreme caution not to overpump the pressure!

3. Your feeling a ''snap'' may or may not be a good thing. If it was the plaque sort of breaking loose, this could be good. However, if in the process it caused more trauma to your tissue, this could be causing further symptoms. So, by using more cycles with less pressure you should be getting better overall conditions leading to at least some relief from the symptoms.

Try my suggestions above for several days/weeks and observe if there is any change to the feelings you described in your post below. Hopefully, you will begin to see some positive results soon. Let me know if there is anything else I can help with in your case.

Old Man
Title: Ready to start but scared sh__less!
Post by: tl48 on November 25, 2010, 08:46:15 AM
OK, I received my Vitality pump and my A & B tubes from Augusta.  I printed out the protocol page and the chart and my biggest concern is overpumping.  I guess you just lube up and try?  My assumption is better to underpump than over-do correct?  Also, I read a post dated 4-11-06 from Spivey Inst. in Atlanta about "how to's" but it mentioned more info coming.  Have I missed that somewhere?

On another note, do you all recommend Pentox with Ubiquinol?  My specialist will prescribe the Pentox (I think) even though I am not currently going to follow his desire to give me verapamil injections!  Seems like that cure is worse than the disease!

Thanks to all that contribute to this- without this forum it seems like the "specialists" would be in the dark ages.   
Title: Re: Ready to start but scared sh__less!
Post by: Lennyman on November 25, 2010, 09:52:05 AM
do NOT do the injections!  it will make it worse!!  happy T-Day!!
Title: Re: Ready to start but scared sh__less!
Post by: mike67 on November 25, 2010, 07:53:07 PM
  
QuoteI printed out the protocol page and the chart and my biggest concern is overpumping.  I guess you just lube up and try?  
tl48 - I imagine you will get lots of help on getting started. Are you using my spreadsheet ( Mike67). It is at the top of the VED page - a locked posting.It will help you keep track of your sessions and remind you when to change cylinder size.
I found that the most lube is required when using the small and possibly the medium one. Lub both into the tube as well as putting some on at least the tip of your penis . I use a toothbrush ( a discarded one , not my wife's) to spread the lubricant around within the cylinder. Just up to half way or so, depending on the length of your erection. Lub a lot , especially when using the small one as your penis will fill the tube and the more lub the much better it will feel. Trial /error will tell you how much.
Try not to get any on the rubber inserts as that will tend to deter the suction. You may find that you really have to pump a lot to get the initial vacuum going. Play around with the cylinder - sort of milk it , if it doesn't start a vacuum early on.  Don't under lub. And don't over pump. Just pump it until you still feel good but erect and hold it 15 - 20 seconds before releasing. I go for 20 minutes daily and try to achieve about 18 - 20 pump ups. I found that by having a small container handy into which you can throw coins or whatever , it helps you keep a count of your pump ups. Otherwise it is easy to lose count.
Set yourself a target i.e. 15 pumps and add whatever more you can handle. And -- don't forget to soapy wash / dry  everything thoroughly after you have finished each session. Actually , the toothbrush comes in handy to help brush out the cylinder . Then rinse and dry everything as well.
Best to you.
Mike
Title: purpose of 3 different cylinders?
Post by: chefcasey on December 24, 2010, 04:20:39 PM
This might be a newbie question, but I just ordered a ved, augusta vitality model.

Now why is it that the protocol calls for 3 tubes? Is it just to ensure proper sizing for different sized men?
Title: Re: purpose of 3 different cylinders?
Post by: Old Man on December 24, 2010, 08:35:00 PM
chefcasey26:

The Vitality OTC one cylinder manual model VED is designed for Erectile Dysfunction primarily. By adding the two extra cylinders, it becomes a real good VED for Peyronies Disease therapy by using the 26 week Peyronies Disease protocol listed in the VED board section of the main forum.

This therapy requires all three cylinders so that the therapy exercises covers varying degrees of confinement, enlargement and stretching of the tunica and erectile tissue. Overall, over the course of time doing the exercise cycles per the protocol, the penis remolds itself back into somewhat of a normal state for most guys. The success rate is not 100%, but it does help enough guys to warrant at least to try and do the protocol.

Read the protocol in VED board section, and you will see the schedule of 26 weeks of daily exercises that has provided much relief and success for a lot of guys on and off the forum.

If you ordered the Vitality OTC one cylinder manual model VED, and want to do the protocol, you should order the two extra cylinders on line from the Augusta Medical Systems company to complete your three cylinder VED.

If you need help is making the purchase from Augusta, shoot me a private message and I can tell you exactly what you need to do to get the extra cylinders.

Old Man
Title: Re: purpose of 3 different cylinders?
Post by: Mike_O on December 29, 2010, 12:03:06 AM
I will add that the smaller cylinders of the Vitality OTC are tapered. The head of the penis will often seal the tube therefore concentrating the stretch lengthwise.

A single cylinder protocol is here on the forum too and some guys have been successful with it as well.

Be careful to avoid too much vacuum.
Title: Just got my VED - Questions
Post by: RoyRogers on July 30, 2011, 12:02:12 AM
Hey guys,

As the title states I just got my VED, the Augusta Medical Systems One Cylinder, and I've got a few questions.

I don't like the lubricant that comes with the VED, can someone recommend a better brand?

I have a string upward curve, and holding the VED straight out is pretty uncomfortable, is this just something I'll need to get used to, or is there something I can do?

I checked out the instructions for the one cylinder protocol in the sticky, can someone clarify? From what I can tell for the first 5 minutes I'm supposed to inflate to 80%, hold for 15 seconds, and then deflate. For the second 5 minutes I need to inflate to 100%, hold for 15 seconds, and then deflate. Then repeat the second step for another 5 minutes. Is this correct?



Title: Re: Just got my VED - Questions
Post by: RoyRogers on July 30, 2011, 12:07:33 AM
Also, and this might sound strange, but I've found myself getting natural erections before I pump, or after pumping just a tiny bit... I'm not exactly sure what to do here... any suggestions?
Title: Re: Just got my VED - Questions
Post by: jackp on July 30, 2011, 09:19:57 AM
Roy

The single cylinder exercise I posted was developed with help of Old Man. It takes time but it does work. It helps keep your penis healthy like night time erections. A good thing for you is you still have a natural erection ability.

Yes, Inflate for 15-20 seconds and release for 15-20 seconds with breaking the seal and repeat for 5 minutes each session. You don't need a stop watch just approximate times are fine.

As for lubricants. You don't have to buy the expensive stuff. I found that the Walmart store brand worked just a well if not better. The trick is use enough for a good seal and lubricate the inside of the cylinder with a light coat.

Jackp

http://jackp-penileimplant.blotspot.com/
Title: Single cylinder protocol clarification
Post by: goodluck on December 18, 2011, 06:55:48 PM
I have started using a single cylinder VED and have reviewed posted protocol.

There are 3 five minute phases.

1. pump to 80 erect. hold for 15-20 seconds and release
2. pump to 100% erect. hold for 15-20 seconds and release.

The 3rd phase I am a bit unclear on.

It says to pump to 100% erect. 
OK.
Do you hold at 100% erect for 5 minutes with out releasing.????

Do you continue to pump as needed to compensate for vacuum leaks and shrinkage?
or is this just a repeat of the 2nd phase?


Thanks in advance.
Title: Re: Single cylinder protocol clarification
Post by: Old Man on December 18, 2011, 08:49:34 PM
goodluck:

OK, the protocol is mainly an established guideline to keep one in a scheduled manner so to speak. You can alter the pump up times as well as holding time to suit your individual feeling.

Holding times need to be adjusted according to how your penis "feels" with the amount of time held. You may need to lessen the time if it begins to become uncomfortable while holding. There is really no need to pump to a 100% erection either, so this can be adjusted to allows for a comfortable amount of vacuum.

This protocol was developed by JackP and myself when he was getting ready for his implant surgery several years ago. It worked great for him and many others using it.

Let me know by PM if you have any personal aspects that you would like to discuss with me.

Old Man
Title: Re: Single cylinder protocol clarification
Post by: jackp on December 18, 2011, 11:35:03 PM
For the third 5 minutes pump to 100% and hold 15-20 seconds and release for about the same time, the repeat.  Each time during the third 5 minutes pump to 100%.

The first 5 minutes start from flaccid to 80%. The second five minutes start at 80% and work up to 100%. The third five minutes 100% each time. Deflate for about the same time you inflate and repeat without braking the seal. Times are approximate do what is comfortable for you.

Jackp
Title: Re: Single cylinder protocol clarification
Post by: hunchback on December 27, 2011, 07:54:14 AM
Quote from: jackp on December 18, 2011, 11:35:03 PM
For the third 5 minutes pump to 100% and hold 15-20 seconds and release for about the same time, the repeat.  Each time during the third 5 minutes pump to 100%.
I've been experimenting with VED since i started about a month ago. I am extremely cautious because i don't really have any ED and don't want to mess things up. I don't know what is the most common position to be in, but i have found that during each one of the 3 cycles my penis progressively gets harder to inflate if i am laying on my back (in other words 100% but shorter). What i have done is tried doing the first 2 cycles laying down and the last standing up. Don't know if this is the best way, but gravity assist on the last cycle seems to be working ok especially since it deflates faster. It seems to have made my venous leakage better.
Title: Re: Single cylinder protocol clarification
Post by: mike67 on December 28, 2011, 10:05:06 AM
I have been using a 3 cylinder VED , one or three , it doesn't matter regards your inquiry. For the past 1 1/2 years I have been using the VED sitting down on my couch and have found it to work consistently well during each session. I don't know why you are lying down and standing up . Sounds like a lot of extra work .

Try just doing it in a sitting position. I think you will find it is OK like that.
Title: Re: Single cylinder protocol clarification
Post by: Old Man on December 28, 2011, 10:29:14 AM
Note to all VED users:

Have read the preceding posts about positions for using the VED with interest. It really makes no difference which position one uses as long as good blood flow can be achieved. My years of experience with VED therapy has taught me that the standing position provides better blood flow than any other. According to my personal uro, the standing position provides more blood into the lower body and is easily more accessible with the VED pumping, etc.

Some of the guys who are using the water type VED therapy (like being immersed in the bathtub or standing in the shower) have found the tub position to provide a more comfortable position though.

IF ANYONE IS USING THE REGULAR VEDs DO NOT IMMERSE THOSE PUMPS IN WATER AT ANY TIME. WATER ENTERING THE PUMP ASSEMBLY WILL DEFINITELY RUIN IT!!!

VED therapy in the shower or tube must be done with a totally immersible water proof pump.

Old Man